肠道代偿功能建立对老年结直肠癌根治术患者肠道功能及肠道炎症反应的影响研究  

Study of the Effects of the Establishment of Intestinal Compensatory Function on IntestinalFunction and Intestinal Inflammatory Response in Elderly Patientswith Colorectal Cancer Undergoing Radical Resection

作　　者：刘书丽 王冲冲 Liu Shuli;Wang Chongchong(Nursing Department,Zhoukou Yudong Hospital,Zhoukou 461300)

机构地区：[1]周口豫东医院护理部,周口461300

出　　处：《数理医药学杂志》2022年第2期305-307,共3页Journal of Mathematical Medicine

摘　　要：目的:研究肠道代偿功能建立的实施方法及在老年结直肠癌根治术患者术后护理中的应用价值。方法:将某院收治的120例老年结直肠癌患者随机分为C组和C+D组各60例,C组实施常规护理,C+D组实施常规护理+肠道代偿功能建立。对比两组患者干预后的肠道功能和干预前后的肠道炎症反应指标(血清IL-1、hs-CRP、TNF-α、IL-6、IL-8水平)及护理满意度。结果:C+D组患者术后肠鸣音恢复时间、首次排气时间、排便时间、进流食时间均短于C组(P<0.05);干预后,C+D组患者血清IL-1、hs-CRP、TNF-α均低于C组(P<0.05);护理前,两组患者的IL-6、IL-8水平并无明显差异(P>0.05),但护理后,C+D组患者的IL-6、IL-8水平明显更低,对比统计学差异明显(P<0.05);两组患者在分别护理后分析患者的护理满意度可见,C+D组患者的护理满意度明显更高,对比统计学差异明显(P<0.05)。结论:老年结直肠癌根治术术后护理中通过对患者肠道代偿功能的建立护理能有效改善肠道炎症反应,提高肠道功能。Objective:To study the implementation of the establishment of intestinal compensatory function and its application value in postoperative care of elderly patients with colorectal cancer undergoing radical resection.Methods:A total of 120 elderly patients with colorectal cancer admitted to a hospital were randomly divided into group C(60 cases)and group C+D(60 cases).After surgery,the two groups were given routine nursing and routine nursing+establishment of intestinal compensatory function,respectively.The intestinal function after intervention,intestinal inflammatory response indexes(serum IL-1,hs-CRP,TNF-α,IL-6,IL-8 levels)before and after intervention,and the nursing satisfaction were compared between the two groups.Results:The recovery time of bowel sounds,first exhaust time,defecation time and liquid intake time in group C+D were shorter than those in group C(P<0.05).After intervention,the serum levels of IL-1,hs-CRP and TNF-αin group C+D were lower than those in group C(P<0.05).There was no significant difference in IL-6 and IL-8 levels before nursing between the two groups(P>0.05),but IL-6 and IL-8 in the C+D group were significantly lower after nursing,with significantly statistical difference(P<0.05).The nursing satisfaction in the two groups was analyzed after nursing,and the results showed that the nursing satisfaction in the C+D group was significantly higher,with significantly statistical difference(P<0.05).Conclusion:In the nursing of elderly patients with colorectal cancer after radical surgery,the establishment of intestinal compensatory function can effectively improve intestinal inflammatory response and improve intestinal function.

关 键 词：结直肠癌 老年 肠道代偿功能 炎症反应 

分 类 号：R473.73[医药卫生—护理学]